Koc Begum Sirin, Tekkesin Funda, Aydin Aysenur Kanat, Balik Zehragul, Yildirim Ulku Miray, Aydogdu Selime, Kilic Suar Caki
Department of Pediatric Hematology and Oncology, Umraniye Research and Training Hospital, University of Health Sciences, 34764 Istanbul, Turkey.
Department of Psychology, Umraniye Research and Training Hospital, University of Health Sciences, 34764 Istanbul, Turkey.
J Clin Med. 2024 Oct 9;13(19):6015. doi: 10.3390/jcm13196015.
: In childhood cancers, parents are affected psychologically as well as children. We aimed to evaluate the effect of childhood cancer type and stage, as well as elapsed time from diagnosis, on the anxiety and stress indicators among parents. : Patients aged between 0-18 years and diagnosed with cancer who were receiving chemotherapy (0-1 month, 1-6 month, 6-12 month) and completed treatment were included. Parents of those children (mother or father) who agreed to participate this study were also included. The personal information form and three psychological assessment scales (Beck Hopelessness Scale (PSS), Psychological Resilience Scale (PRS), Uncertainty Intolerance Scale (IUS)) were used for assessment of mental health of the parents. Scores of the scales and clinical features of the children with cancer were compared statistically. : The study included 84 parents (57 mothers, 27 fathers) and 84 children. The rate of children with solid tumors was 60% (:50) and 40% of them were metastatic, which means advanced stage. The rate of the children with leukemia was 40% (:34) and 23% of them were in high-risk group. According to the type (leukemia vs. solid tumors) and stage (high risk/advanced stage vs. others) of the cancer, there was no statistical difference among parents in the psychological scales ( > 0.05). Additionally, results of the psychological scales showed no significant difference between mothers and fathers ( > 0.05). The hopelessness scores are significantly higher among parents whose child's treatment is terminated compared with those whose active therapy is ongoing, and resilience scores are higher among parents who have less than 1 month since diagnosis of childhood cancer than later periods. : The regular assessment of mental health among parents of children with cancer across all the survivorship trajectory: at the time of diagnosis, during active therapy, and after treatment.
在儿童癌症中，父母和孩子一样会受到心理影响。我们旨在评估儿童癌症的类型和阶段，以及自诊断以来的时间推移，对父母焦虑和压力指标的影响。：纳入年龄在0至18岁之间、被诊断患有癌症且正在接受化疗（0至1个月、1至6个月、6至12个月）并完成治疗的患者。还纳入了那些同意参与本研究的孩子的父母（母亲或父亲）。使用个人信息表和三个心理评估量表（贝克绝望量表（PSS）、心理复原力量表（PRS）、不确定性不耐受量表（IUS））来评估父母的心理健康。对量表得分和癌症患儿的临床特征进行统计学比较。：该研究包括84名父母（57名母亲，27名父亲）和84名儿童。实体瘤患儿的比例为60%（:50），其中40%为转移性，即晚期。白血病患儿的比例为40%（:34），其中23%属于高危组。根据癌症的类型（白血病与实体瘤）和阶段（高危/晚期与其他），父母在心理量表上没有统计学差异（>0.05）。此外，心理量表的结果显示母亲和父亲之间没有显著差异（>0.05）。与正在接受积极治疗的父母相比，孩子治疗结束的父母绝望得分显著更高，而自儿童癌症诊断以来不到1个月的父母的复原力得分高于后期。：对癌症患儿父母在整个生存轨迹中的心理健康进行定期评估：在诊断时、积极治疗期间和治疗后。
